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Home / Tenant Application

Tenant Application

Title*
First Name*
Surname*
Date of Birth* Select date
Any previous names in full
Address*
Country*
Post Code*
Time spent at this address*
Home Telephone
Mobile*
Email address*
NI no.*
Driver's license number
Passport Number
Status*
Living arrangements* House owner
Council Tenant
Private tenant
Lodger
Living with relatives or friends
Employement accomodation
Other
Smoker*
Pets?*
Count Court Judgements?*
If yes please provide details below
Court Decree?*
If yes please provide details below
Bankruptcy?*
If yes please provide details
Evictions?*
If yes please provide details
Admiistration Orders?*
If Yes, please provide details
Debt Management Plans?*
If Yes, please provide details
Are you disabled?*
If Yes, please provide details
Previous addresses
Present Landlord Private Landlord
Letting Agent
Solicitor
Estate Agent
Name
Telephone
Address
Post Code
Previous Landlord
Name
Telephone
Address
Post Code
Present Occupation* Employed
Self-Employed
On Contract
Retired
Un-Employed
Student
Independent Means
Employer or Accountant (Self Employed)
Line Manager or other contact
Address
Date started this employ Select date
Employer contact telephone
Fax
Email
Employee Reference number
Position Held
Gross Annual Earnings £
Your own work telephone
Your own work fax
Your own work email
Is your employment permanent Yes
No
Do you plan to change employment? Yes
No
Previous occupation (if less than 3 years)
Employer
Line manager or other contact
Address
Date started this employ Select date
Telephone
Bank or Building Society details
Bank Branch Name
Bank or Society Current A/c Name
Bank Address
Post Code
Account Number
Sort Code
Vehicle/s to be kept at the property (include cycles, motor cycles and caravans)
Make
Model
Reg no.
Surety Guarantor / Character Referee (where applicable)
Title*
Full Name
Occupation
Address
Telephone
Next of Kin / Emergency Contact (not spouse or live-in partner)
Full Name
Occupation
Full Address
Telephone
Declaration of consent
By checking this box, you agree that you have provided all necessary information and agree by the terms and conditions below
* required
I apply for a Tenancy at: (full description and address of property)

For a period of:

The rental amount is £{RENT} per: payable by Cash / Cheque

/ Standing Order (delete as appropriate)

I will be directly responsible for paying Council Tax, for opening accounts with service (utilities) providers and for paying directly for all services to the property, unless otherwise agreed.

I will pay one month’s rent in advance plus a security deposit of £{DEPOSIT and an administration fee of £ {ADMIN_FEE}

I believe the information provided here to be true and authorise the landlord or agent to:

• carry out credit searches and reference checks and to contact employers, banks, referees, guarantors and credit reference agencies as appropriate.

• use the information obtained with third parties to assess credit ratings, make insurance decisions, for fraud prevention and tracing / debt collection. • handle all information obtained in strictest confidence and in accordance with the principles of the Data Protection Act 1998. I understand that I can request the details of any credit reference agencies used to verify with them information provided. I understand that if I lodge a holding deposit I will be given a written receipt and details of any penalties, should I fail to commence the tenancy. Also, that any holding deposit will be credited as a portion of my security deposit or rent once the tenancy commences. I understand that if I lodge a security deposit I will be given a written receipt and details of the Deposit Protection Scheme used. I understand that if I default on my tenancy obligations this information may be released (per S35 DPA 1998) if required to authorised debt recovery agencies and could affect any future applications I make for tenancies, credit and insurance. Completing this form does not commit the prospective tenant or landlord to a tenancy. A shared or single tenancy will not be created until all applicants have been qualified and have signed the tenancy agreement. I can confirm that I have read the above and have raised any concerns with the landlord or agent. Prospective tenants should be aware that any false statement made could result in early termination of the tenancy under ground 17 of the Housing Act 1996.